[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-1-psychiatric-community-068":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":63},"精神科與社區衛生護理學","psychiatric-community",{"id":7,"webId":8,"year":9,"session":10,"subject":4,"number":11,"stem":12,"options":13,"answer":18,"answerNote":19,"images":20,"explanation":21,"explanationDeep":22,"topics":23,"freq":26},"nurse-109-1-精神科與社區衛生護理學-068","nurse-109-1-psychiatric-community-068",109,1,68,"依據跨理論模式（transtheoretical model），王女士陳述「我想要運動，但就是找不到時間。如果我能每週運動三天，我對於自己的感覺會比較好。」，是屬於下列何種改變階段（stages of change）？",{"A":14,"B":15,"C":16,"D":17},"無意圖期（precontemplation）","意圖期（contemplation）","準備期（preparation）","行動期（action）","B",null,[],"本題考點是跨理論模式改變階段的辨識。依定義,意圖期指個案已意識問題、有意在未來六個月內改變,但尚未行動、仍在權衡利弊;王女士說「想運動但找不到時間,若能每週運動三天會感覺較好」,正是有動機、能想像好處卻未執行,選 B。A 錯:無意圖期根本無改變打算、否認問題。C 錯:準備期已下定決心、預計一個月內行動且常有小步嘗試,她仍卡在找不到時間。D 錯:行動期指已實際改變未滿六個月,她尚未開始。","TTM 六階段:無意圖(不打算,6 個月內無意願)→意圖(想改,6 個月內)→準備(已決定,30 天內且常有小行動)→行動(已改變 \u003C6 個月)→維持(>6 個月)→終止。辨識訣竅看兩把尺:時間框架與是否已行動。意圖期的招牌特徵是「想改但還在觀望、談阻礙」,對應衛教策略是提升改變動機與利益認知、化解矛盾情感。",[24,27,29,31],{"term":25,"count":26},"跨理論模式",2,{"term":28,"count":10},"改變階段",{"term":30,"count":10},"意圖期",{"term":32,"count":10},"健康行為改變",[34,38,43,47,52,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-109-1-psychiatric-community-069","社區護理師為提升懷孕新住民的健康識能（health literacy），下列何者較不適當？",69,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-110-1-psychiatric-community-005","在生物化學研究中，憂鬱症病人最可能缺乏那些神經傳導物質？",5,110,{"webId":44,"stem":45,"number":46,"year":42,"session":26},"nurse-110-2-psychiatric-community-019","沈女士為慢性精神病病人，平日都可依醫囑按時服用抗精神病藥物，但情緒仍常受幻聽干擾而時有波動，護理師提供的護理措施，下列何者錯誤？",19,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-111-2-psychiatric-community-057","社區護理師於社區關懷據點推動健康飲食計畫，記錄每次活動參與人數，是屬於下列何者護理指導的評價？",57,111,{"webId":53,"stem":54,"number":55,"year":56,"session":57},"nurse-112-3-psychiatric-community-021","邵女士，67 歲，因車禍接受手術，在加護病房第二天出現混亂、慌張、不安、定向障礙之症狀，小夜班時不斷拉鈴要求出去，大夜班時跟護理師反映牆壁上有許多蟑螂。針對此譫妄（delirium）狀態，下列何項護理措施最適宜？",21,112,3,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-114-1-psychiatric-community-015","有關創傷後壓力症（posttraumatic stress disorder）的敘述，下列何者最適切？",15,114,"2026-09-04",1788510714622]